HomeMy WebLinkAbout02-14-11 (3)
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1~ianle of Decede,~t:---~~l~ly4~. ~~ -- ------- --
D'~~e ~: Death:-_ ~ l ZD 20~g _ File i`~u:::be,. ~ DO _' Uy~~
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" _, .:~....,. .. ... ~ .. ---=:•_. t. fill?.. 1d Ol. Ci
file above-ca;~tiuned estate:
1. Slate whether 2d_11it11Sirat10:1 of file e5rate 1S CCrtlpl.eie: .... . .......... . ... l~l ~S U ~V'~
2. if the a;1S~'v'et"15 ~t0, StdtZ Wll°ll ttlZ ~.'e1SGi121 :~Cl'eS~I1t2tIVZ
re2sonably L-eltevzs that tl?z 2drfi1ri1StT3t:Ot1 ti~',li be COl?iplei~:
3. if ill.'. a;:5'~Ver t0 N0. 1 iS `i'LJ, State yl~ fC110«''1P.?:
a. D:d the perSCP.2i repreSe?1t3tiVe :lle a fi'731 2000L:rIt VJlill t~1P. C.Cllr~~ ....... ^YeS ~1\0
o. The SeDcraie O:pluEns' Court No. (if 2ny) fir the persot:1
re;;reselztaiive's 2000llIlI 1S:
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c. Did th:e persor3l repre;ent3tve st3t~ in account
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in.`orn;aliy to the partiea in i:aer~~st? ............................... ~ (.~ ~'es ~~o
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. d. Cep':zs of receirts, releases, j oinders ~:nd approvals of fo?m l of infonn2l acco~?nts may be
fired with the Clerl: oc tLe OtFllans' C:ou.t and t.:ay be 2t.ached t0 this repot~_.
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